Literature Review

SCAN continues to expand PACE business amid regulatory hurdles Becker's Payer Issues; by Jakob Emerson; 9/9/25 With its second Program of All-Inclusive Care for the Elderly center now open in South Los Angeles, SCAN Group is pressing ahead with a care model that faces steep regulatory challenges. The new 33,000-square-foot facility in Compton will provide low or no-cost medical, social and in-home services for seniors eligible for Medicare and Medicaid. The center builds on myPlace Health’s first PACE site, which opened near downtown Los Angeles in 2024. The two centers now serve 136 members, with enrollment expected to exceed 150 in the coming months. 

Raising the standard of Arizona’s dementia care Lovin' Life; by Lin Sue Flood; 9/7/25 Arizona is setting a bold new standard to better support families impacted by dementia. A groundbreaking state mandate requires all memory care facilities to provide up to 12 hours of specialized dementia training to their staff, plus four hours of continuing education each year. This extensive training combines online video modules with hands-on, in-person skills sessions. Hospice of the Valley’s experienced Dementia Team is leading the way as one of the agencies the Arizona Department of Health Services has approved to deliver this comprehensive training. The nonprofit organization is unique in offering it as a free community service.

How to choose the right assisted living facility for your aging loved one Mediafeed.org; by Rebecca Schier-Akamelu; 8/19/25 When you tour assisted living facilities, you’ll have the opportunity to speak directly with staff members and, when appropriate, even residents. Asking questions about pricing, amenities, caregivers, the types of care provided, and community culture will help you and your loved one compare when it’s time to choose the best facility. Key questions to find the right fit: ... 

Medicaid payments and racial and ethnic disparities in Alzheimer disease special care unitsThe Journal of the American Medical Association - JAMA Network Open; by Huiwen Xu, PhD, Shuang Li, PhD, John R. Bowblis, PhD, Monique R. Pappadis, PhD, Yong-Fang Kuo, PhD; James S. Goodwin, MD; 8/4/25 In this cohort study of 13, 229 nursing homes, those with higher proportions of Black or Hispanic residents were less likely to have Alzheimer disease special care units. The disparities among nursing homes serving high proportions of Black residents, however, narrowed and even disappeared in states with higher Medicaid payment-to-cost ratios. ... This study suggests that more generous Medicaid payments may be associated with improved availability of specialized dementia care in nursing homes that serve primarily marginalized Black residents.

This test tells you more about your heart attack risk KFF Health News; by Paula Span; 8/1/25 A long list of Lynda Hollander’s paternal relatives had heart disease, and several had undergone major surgeries. ... A cardiologist told Hollander that based on factors like age, sex, cholesterol, and blood pressure, she faced a moderate risk of a major cardiac event, like a heart attack, within the next 10 years. ... Her doctor explained that a coronary artery calcium test, ... could provide a more precise estimate of her risk of atherosclerotic heart disease. “The test is used by more people every year,” said Michael Blaha, co-director of the preventive cardiology program at Johns Hopkins University. Calcium scans quadrupled from 2006 to 2017, his research team reported, and Google searches for related terms have risen even more sharply. Yet “it’s still being underused compared to its value,” he said. One reason is that although the test is comparatively inexpensive ...Editor's Note: Good news. This test predicts and protects heart health, potentially providing extra years of good (or at least better) quality of life. Bad news. It is "being underused compared to its value," partly because "the test is comparatively inexpensive"? Bad news. What does the low-cost factor say ethics, choices, and quality of life? Good news. Because of my family's cardiac history, my physician recently recommended I take this test. I did, and received great results! I move into the future with greater confidence, less fear, and more gratitude for the some 100,00 heartbeats we each experience, each day.

Assisted living fire with multiple fatalities a reminder to have evacuation plan, expert says McKnights Senior Living; by Kimberly Bonvissuto; 7/15/25 A five-alarm fire at a Massachusetts assisted living community in which nine people died and at least 30 were injured is a “realistic reminder” for senior living providers to make sure they have evacuation plans that are practiced and up to date, according to one expert. Stan Szpytek, president of Fire and Life Safety Inc. and a former deputy fire chief and fire marshal, told McKnight’s Senior Living that he was “horrified” to see the death toll, adding that multiple fatalities in buildings equipped with properly working fire suppression systems “has never occurred,” according to statistics from the National Fire Protection Association. ... “Smoke kills more people than fire does everyday in America,” Fall River Fire Chief Jeffrey Bacon said during a press conference.

Why more seniors are going broke in the last 5 years of life SavingAdvice.com; by Riley Jones; 7/27/25 ... According to recent data, more seniors than ever are entering the last five years of life with little to no savings, and some are accumulating serious debt. Despite years of work, careful budgeting, and modest living, the final chapter of life is becoming one of the most financially devastating. ...

Heritage of Green Hills offers innovative palliative care program Main Line Times & Suburban - Senior Living, Exton, PA; by MediaNews Group; 7/23/25 At The Heritage of Green Hills, a premier senior living community in Cumru Township, Berks County, residents enjoy more than a vibrant lifestyle — they also benefit from a forward-thinking approach to health and wellness that includes care through its unique Collaborative Outpatient Management for Palliative and Aging Support Services (COMPASS) program, which is provided in partnership with Seniority Healthcare. ... Through the COMPASS program, eligible residents — people living in the independent living neighborhood or the Care Center with two or more chronic conditions — receive:

Families demand end to Medicare waiting period for early-onset Alzheimer’s patients Washington Examiner; by Elaine Mallon; 6/15/25 Jason Raubach was diagnosed at 50 years old with early-onset Alzheimer’s disease — a diagnosis that affects nearly 200,000 Americans. He received the diagnosis in 2018, completely upending life for his family. His youngest child was just a freshman in high school. ... Shortly before receiving an official diagnosis, Jason Raubach lost his job, having to move his family onto a consolidated omnibus budget reconciliation act health plan, or COBRA plan, which allows a person to keep their health insurance even after losing their job. “It wasn’t cheap,” Elizabeth Raubach said.However, once diagnosed, Jason Raubach had to wait two and a half years before he could receive coverage under Medicare, health insurance for those 65 years and older or those with qualifying disabilities. But Elizabeth Raubach, along with dozens of other caretakers for people diagnosed with Alzheimer’s, called on Congress in a letter to eliminate the 29-month waiting period required for those under the age of 65 to receive coverage under Medicare. ...

The Roaring ‘20s: Hospice of the Valley hosts senior prom Arcadia News, Phoenix, AZ; by Mallory Gleich; 6/1/25 At the Dementia Care and Education Campus in Arcadia, the spirit of the Roaring ’20s came to life as Hospice of the Valleyhosted its second annual senior prom. With pearls, feathers, vintage flair, and a whole lot of heart, this unforgettable evening was more than just a dance, it was a joyful celebration of life, connection, and music. Around 80 guests – a mix of Adult Day Club members, assisted living residents, spouses, family members, staff, and volunteers – attended the soiree. From the start, the event buzzed with anticipation and excitement. For many, this was a chance to relive a moment they had missed, or rewrite one that had fallen short in their youth. 

A ‘cloak of comfort’: an integrated approach to palliative care for cancer patients Sinai Health; 5/26/25 At Mount Sinai Hospital, palliative care is fully integrated into cancer care, providing comprehensive, person-centered support for those with advanced illness. Palliative care, derived from the Latin pallium meaning “cloak,” offers comfort and support to individuals with serious illnesses. Often misunderstood as solely end-of-life care, it actually provides relief at any stage of a life-threatening illness and can be provided in tandem with cancer treatment. This holistic approach addresses physical, emotional, and spiritual needs, aiming to improve quality of life for both patients and their families. In fact, early integration of palliative care can enhance symptom management, extend life and offer greater support to caregivers. Patients can receive care at Mount Sinai Hospital’s Cancer Care Clinic, at home through the Temmy Latner Centre’s home palliative care program, and in the palliative care unit at Hennick Bridgepoint Hospital.  

UnityPoint Health PACE Senior Care in Hiawatha opening June 1, now enrolling participants  Corridor Business Journal, Iowa City and Cedar Rapis, IA; by CBJ News Staff; 5/21/25 UnityPoint Health has announced that its new Program of All-Inclusive Care for the Elderly (PACE) Senior Care Center in Hiawatha is now accepting enrollment applications ahead of its official opening June 1. Located at 1450 N. Center Point Road in Hiawatha, the PACE Senior Care Center center aims to help eligible older adults remain in their homes by offering coordinated medical and support services. The program provides a comprehensive range of care, including primary and specialty medical services, therapy, prescription medications, transportation, and in-home support. 

“A different way of looking at how you can age in America” AJMC; by Maggie L. Shaw; 5/21/25